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Table 2 Revised Sapporo classification criteria for antiphospholipid antibody syndrome (APS) [8]

From: Liver infarctions as the first manifestation of antiphospholipid antibody syndrome in pregnancy: a case report

APS is present if at least one clinical and one laboratory criterion is met:

Clinical criteria

Laboratory criteria

1. Vascular thrombosis

1. Lupus anticoagulant (LA)a

 ≥ 1 clinical episode of arterial, venous or small vessel thrombosis in any tissue or organ

 Present in plasma, on ≥ 2 occasions at least 12 weeks apart

2. Pregnancy morbidity

2. Anti-cardiolipin (aCL) antibody

 ≥ 1 unexplained death of a morphologically normal fetus at or beyond the 10th week of gestation with normal fetal morphology documented by ultrasound or direct examination

 IgG and/or IgM isotype in serum or plasma, present at medium or high titer, on ≥ 2 occasions at least 12 weeks apart

 ≥ 1 premature birth of a morphologically normal neonate before the 34th week of gestation due to eclampsia or severe preeclampsia or placental insufficiency

3. Anti-β2-glycoprotein-I antibody

 IgG and/or IgM isotype in serum or plasma on ≥ 2 occasions at least 12 weeks apart

 ≥ 3 unexplained consecutive spontaneous abortions before the 10th week of gestation

  1. aFalse-positive LA results may occur in patients treated with warfarin, heparin, or direct oral anticoagulants
  2. APS = antiphospholipid antibody syndrome, LA = lupus anticoagulant, aCL = anti-cardiolipin antibody